Lexington Dental

NPI #1699838011 in Roseville, Minnesota

Provider Information

NPI Number: 1699838011
Entity Type: Organization
Organization Name: Lexington Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1790 LEXINGTON AVE N
Address 2: SUITE B
City: Roseville
State: Minnesota
ZIP Code: 55113-6167
Phone: (651) 488-5557

Authorized Official

Name: DR. RICHARD A WIBERG, DDS
Title: OWNER
Phone: (651) 488-5557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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